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Navy S Marine Corps Medical News 


March 31, 2000 

The Navy Bureau of medicine and Surgery distributes Navy 
and Marine Corps Medical News (MEDNEWS) to Sailors and 
Marines, their families, civilian employees and retired 
Navy and Marine Corps families . 

MEDNEWS is a weekly compendium of news and information 
contributed by commands throughout the Navy Medical 
department . Information containing MEDNEWS stories is not 
necessarily endorsed by BUMED, nor should it be considered 
official Navy policy. 

To achieve maximum medical information distribution, 
your command is highly encouraged to distribute MEDNEWS to 
ALL HANDS electronically, include MEDNEWS in command 
newspapers, newsletters and radio and TV news programs. 

Stories in MEDNEWS use these abbreviations after a Navy 
medical professional' s name to show affiliation: MC - 
Medical Corps (physician) ; DC - Dental Corps; NC - Nurse 
Corps; MSC - Medical Service Corps (clinicians, researchers 
and administrative managers) . Hospital Corpsmen (HM) and 
Dental Technician (DT) designators are placed in front of 
their names. 


Contents for this week's MEDNEWS: 

Headline: Navy launches culture of fitness with new standards 

Headline: Bremerton adds new volunteers to marrow donor list 

Headline: Nurse anesthetist uses hypnosis as an adjunct to patient care 

Headline: Rota to hold last blood drive 

Headline: Great Lakes staff trains aboard Tarawa 

Headline: Anthrax question and answer 

Headline: TRICARE question and answer 

Headline : Healthwatch : Nausea a part of early pregnancy 


Headline: Navy launches culture of fitness with new 

By Lt . Ingrid Mueller, Naval Personnel Command 

MILLINGTON, Tenn. — Goal oriented scoring. Emphasis on 
training progression. Tougher standards . New software to 
measure fleet fitness. 

Ready for the challenge? 

The new Navy physical readiness program targets 
individual fitness and places a renewed emphasis on COIflHlcLncL 

leadership to help create a culture of fitness throughout 
the Navy. Sailors of all ages will participate in the new 
program . 

"We want to establish a Navy-wide culture of fitness 
that will promote physical conditioning and commitment to a 
healthy lifestyle, " said Chief of Naval Operations, Acta. 
Jay L. Johnson. "The physical readiness program has 
essentially become an assessment tool for a Sailor's 
individual fitness. " 

The new program goes into effect May 1 . 

While the exercises included in the physical readiness 
test have not changed, the new goal-oriented scoring and 
more detailed standards help chart the track to fitness. 
For example, each of the scoring categories (satisfactory, 
good, excellent and outstanding) is divided into different 
sections: marginal, medium and high. The sections are 
designed so that a Sailor who follows the proper physical 
fitness regimen can achieve the next higher category by the 
next testing period. 

Accordingly, the revised plan encourages commanding 
officers to recognize Sailors who progress to the next 
higher category through fitness report and evaluation 
comments. In the past, only those who scored outstanding 
or excellent received comments . 

Promotion, advancement, f rocking and redesignation 
requirements will be based on meeting fitness progression 
standards, rather than failing the test. Previous physical 
readiness test failures will not be carried forward under 
the new program. Details on the progression standards will 
be included in the revised instruction. 

The new Navy culture of fitness will require a 
consistent commitment by the individual member to a healthy 
lifestyle . 

"This program is a measured step forward that will 
result in fitter Sailors, higher morale and enhanced 
readiness, " said Johnson. "It is a leadership 
responsibility to promote a culture of fitness that will 
help Sailors succeed. " 

Commands will establish and direct fitness enhancement 
programs to monitor the training and progression of 
Sailors, and will also offer nutrition and weight 
management counseling. For Sailors who are struggling to 
meet standards, Fitness Enhancement Programs will be 

For more information, please see NAVADMIN 063/00. 

Answers to frequently asked questions will be posted on 
the BUPERS/Navy Personnel Command web page at 
www . bupers . Navy . mil /per s 6/pers 6 O/pers 601 . 

For more information, contact PERS-601 at (901) 874- 
4257/43 or DSN 882. 


Headline: Bremerton adds new volunteers to marrow donor 

By JQ2 Michael Howlett, Naval Hospital Bremerton 

BREMERTON, Wash. Mixed with the good-natured moans 

and groans about needles being stuck in their arms, were 
smiles of contentment from people who knew they were doing 
something good. This St. Patrick' s Day at Naval Hospital 
Bremerton, people wore green with a little bit of beige 
from a bandage earned at the C.W. Bill Young Bone Marrow 
Donor Center donor registration drive. 

Service members and civil service employees were asked 
to take 5 minutes out of their day to sign up for the 
national bone marrow donor registry. 

"I wanted to be in the position to be able to help save 
a life, " said Hospital Corpsman Apprentice Ryan Gird, 19, 
who works in the medical-surgical ward of the hospital. 

It is the same reason the former certified nursing 
assistant chose to join the Navy and become a hospital 
corpsman. When he decided to become a registered donor, he 
drew on past experience gained alongside his mother who 
worked in a nursing home, "One of my mom's patients had a 
bone marrow transplant, and when I heard about the drive, 
[ the patient ] was all I could think about . " 

That particular patient was one of the lucky ones. 
Every year in the U.S. approximately 59,000 people die of 
disorders that marrow transplants could have helped to 
cure, according to Chief Electronics Technician (SW) Gerard 
Gillespie, who represented the donor center at the 
registration drive. Gillespie' s passion for the job is 
evident when pitching his cause to passers-by. 

"Help save a life, " he called out to one person walking 
by. This enthusiasm brings results. During the daylong 
event, 116 people registered to be bone marrow donors. 

Gillespie himself had the opportunity to be a donor. 
After initially joining the registration in 1994, he was 
called in 1997 to undergo further tests for a possible 
match. After a couple of weeks, he was determined to be 
the best possible match and donated bone marrow in what has 
become a more streamlined procedure. 

The technique currently used allows a person to be back 
to work in just a matter of days after the marrow is taken. 

"Psychologically, it was the best experience I ever 
had," said Gillespie. 

The registration wouldn' t have been possible without the 
volunteers from the family practice clinic under the 
coordination of Hospital Corpsman 1st Class (SW) Daniel 
Ackerman, who rounded up volunteers from his clinic, and 
also spent the day searching the hospital for donors. 
During a lunchtime rush, Ackerman and Hospital Corpsman 3rd 
Class Laddie Johnson set up another table in front of the 
pharmacy waiting area, which brought in more than 20 
addi tional don ors . 

Rounding up volunteers wasn't a difficult task, because 
they all realized the importance of their work. 

"This is all a part of patient care, doing what I can to 
help others, " said Jamie Johnson, a civilian medical 

assistant in the family practice clinic. 

To find out more information about donating bone marrow, 
or about the program, visit the donor center at this site 
on the Internet, 


Headline: Nurse anesthetist adds hypnosis to patient care 
By J02 Duke Richardson, Naval Medical Center Portsmouth 

PORTSMOUTH, Va . — Naval Medical Center Portsmouth, Va., 
is always looking for innovative ways to treat patients and 
expedite the healing process. Sometimes that search 
includes using complimentary alternative medical practices. 

One such form of complementary medicine being practiced 
at NMCP is clinical hypnosis . 

Contrary to popular belief, hypnosis is not the evil, 
sinister device that can be used on an unwilling person. 
It is quite the opposite . For hypnosis to work, subjects 
must want it and be 100 percent willing to allow themselves 
to be put under the influence so that their mind is more 
open to suggestion. 

"Patient response in the pain clinic is so successful 
that the demand is greater than the ability to offer the 
service, " said Cmdr . Michael R. Eslinger, NC, one of Naval 
Medical Center Portsmouth' s resident hypnotherapists . He 
is also the only nurse anesthetist to earn the title of 
Approved Consultant to the American Society of Clinical 
Hypnosis . 

To gain new hypnotists to assist with the Navy's 
hypnotherapy programs in pain management and health 
promotions, Eslinger is conducting certification workshops 
at Naval Hospital Camp Lejeune, N.C., and at Naval Medical 
Center Portsmouth during April . His workshops will not 
only teach history, theory, myths and misperceptions of 
hypnosis, but it will give pupils the mental tools and 
knowledge needed in the clinical applications of hypnosis . 

Eslinger' s clinical hypnosis certification course is 
specifically designed for most medical disciplines, mental 
health professionals , chaplains and social workers who want 
to enhance their skills by adding hypnosis as a treatment 

The benefits of hypnosis in the management of chronic 
pain, obstetrics, preoperative enhancement, stress 
management, weight management and smoking cessation are 
well documented in the saving many hours because of sick 
days lost. 

The course will be held Apr. 16-21. For more 
information contact Eslinger via email at 
eslingerQerols . com. To reserve a seat call training at 
(703) 953-7543. 


Headline: Rota to hold last blood drive 
BY JOC Jon McMillan, Naval Hospital Rota 

ROTA, Spain — 

— Changes in the Navy's European blood 

program means that blood drives will no longer be necessary 
for Navy medical facilities in Rota, Spain and at Sigonella 
and Naples, Italy. 

Blood for Navy medical facilities and Navy ships in the 
theater will be flown in from a tri-service blood 
distribution center at McGuire Air Force Base, N.J. 

"We're taking assets we have in the United States and 
we 're using their blood so we can reduce costs, reduce 
waste and reduce liability and risk, " said Lt. Cmdr. 
Richard Hayden, MSC, Naval Hospital Rota ' s laboratory 
officer and blood program director. 

Navy hospitals in Europe have traditionally made their 
own blood products out of blood received during donor 
drives. The hospital in Rota typically produced 20 to 25 
units a month - each unit having a shelf life of 42 days - 
that served the hospital and other contingency needs. 

"We also had requirements to ship blood products to 
Kosovo and to various Sixth Fleet units, " said Hayden. The 
other Navy hospitals in Europe had similar requirements . 

The blood products will arrive every two weeks on the 
scheduled flights. For the past four months, Naval 
Hospital Rota has been receiving small test shipments to 
ensure the transportation pipeline was efficient and 
reliable . The first regular shipments started arriving the 
first week of April . 

The beginning of these shipments means local blood 
drives are no longer needed. A March 27 donor drive in 
Rota will be the last one conducted. 

"We didn't want to stop having blood donor drives 
without letting the people know, " said Hayden. "We also 
felt it 'd be wise to have this last one and give people one 
last opportunity to donate here. We have really 
appreciated the support many of our faithful donors have 
provided over the years, " he said. 

After the March 27 drive, the laboratory department will 
no longer be in the business of testing local blood for 
infectious diseases . Those tests will be performed on all 
blood sent to Rota by the activities collecting the blood 
in the states -usually, other department of defense medical 
treatment facilities. 

Getting out of the blood testing business will save the 
Rota hospital money. Blood tests cost the hospital more 
than $40, 000 last year and each month the testing tied up 
two or three people for an entire week, said Hayden. 

"This blood donor center was one of the most expensive 
in the Navy, " said Hayden. "Because volume was so low, a 
unit of blood produced here cost 400 percent more than the 
average cost of a unit of blood in the United States, " he 
said. The reason for that is the Rota hospital purchased a 
small volume of test kits and was not able to take 
advantage of the large volume price discounts other donor 
centers receive. "The shelf-life of those kits is also 
very short, " said Hayden. 

Blood received from the tri-service blood distribution 

center though, has already been paid for and won 't cost the 
Navy hospitals in Europe anything. 

The Rota blood bank will continue to store almost 300 
units of frozen blood and, in case of a contingency need, 
could be ordered to stand up it's blood donor center again. 
The hospital will continue to take and store blood for 
patients undergoing elective surgery, and the hospital will 
still perform transfusion services. 


Headline: Great Lakes staff trains aboard Tarawa 

By: LT Youssef H. Aboul-Enein, MSC, Naval Hospital Great 


GREAT LAKES, ILL. — Navy medical readiness training is 
an ongoing effort around the world, ensuring that personnel 
are ready to man their platforms when called upon in times 
of crisis. 

Naval Hospital Great Lakes recently tested its readiness 
when 49 members of its staff joined medical augmentation 
staff from Naval Hospital Camp Lejeune, N.C., and Naval 
Medical Center Bethesda, Md. , in a week-long deployment off 
the California coast aboard USS Tarawa (LHA 1) , a 
designated primary casualty and receiving ship. 

The Great Lakes team, led by Capt . Kenneth Leonard, MC, 
and Chief Hospital Corpsman Winston Granville, met their 
platform in San Diego to conduct training aboard the 
amphibious ship. Their departure ended months of planning 
and coordination between Naval Hospital Great Lakes, the 
Surface Warfare Medicine Institute, Amphibious Group THREE, 
the Tarawa Medical Department and the Bureau of Medicine 
and Surgery in Washington, D.C. 

While underway, the group received training on medical 
issues at sea, shipboard orientation and the role of Navy 
Medicine in amphibious operations. "I was a frigate 
corpsman assigned to the USS Thatch (FFG 43) and look 
forward to getting underway, " said Hospital Corpsman Second 
Class (SW) Kori Jowhar, who works at the Reserve Liaison 
Office at Naval Hospital Great Lakes but whose platform is 
the Tarawa . 

The medical augmentees will also go through several 
shipboard drills to sharpen their skills and help them all 
meld with medical units embarked and serving full-time 
aboard the ship. If the group was not involved in drills 
or classes they were giving lectures. 

Among those Great Lakes staff giving educational 
sessions was Cmdr. Kirk Engel, DC, who gave a presentation 
on dental and oral trauma and Lt . Joseph Yacisen, MC, who 
discussed orthopedic injuries. 

"I am very pumped-up, the last time I was aboard ship 
was as ship's nurse on the USS Saratoga (CV 60) during the 
Balkan Crisis," said Lt. Cmdr. Frederick Lewis, NC, who is 
the division officer at the Naval Hospital Great Lakes 
Mental Health Ward. 


Headline: Anthrax question and answer 

Question: Am I as a service member required to take the 
anthrax vaccine? 

Answer: Yes. This vaccine, like any other vaccine, is 
required to prepare you and other service members for 
deployment. You are required to take it unless medically 
or administratively deferred. The DoD and Coast Guard are 
firmly committed to the maintenance of a healthy and fit 
force and the prevention of unnecessary casualties. 

There is a long history of compulsory vaccinations 
within the Armed Forces, dating back to the Revolutionary 
War. General Washington mandated vaccination against 
smallpox. Tetanus, typhoid, and yellow fever vaccinations 
were required of soldiers in World War II with the 
following results: 
cases of yellow fever 

12 cases of tetanus, despite 2. 7 million hospital 
admissions for wounds and injuries 

5 cases per 100,000 of typhoid, compared to 42 per 100,000 
in World War I. 


Headline: TRICARE question and answer 

Question: What is a Health Evaluation and Risk 
Assessment ? 

Answer: It is a self-initiated questionnaire surveying 
many lifestyles and diet factors that will be reviewed and 
discussed with you by your primary care provider . 


Headline : Healthwatch : Nausea a part of early pregnancy 
From University of California Healthcare 

IRVINE, Calif. — According to the American Medical 
Association, nearly 50 percent of women suffer nausea and 
vomiting during the first three months of pregnancy. It 
tends to be more severe early in the morning, but it can 
occur anytime during the day or night . 

Morning sickness usually occurs in the first trimester 
and ends around the third month of pregnancy. It is 
believed to be caused by the presence of certain hormones 
and by changes in the way the body metabolizes 
carbohydrates. Most women experience only intermittent 
nausea and vomiting. 

To alleviate nausea, eat several small meals during the 
day because an empty stomach can bring on nausea. Avoid 
fatty foods; they can make morning sickness worse, and eat 
foods high in carbohydrates and protein. 

Drink plenty of fluids in-between meals to replace the 
fluids you 're losing by vomiting and to help neutralize 
stomach acids. It may also be helpful to keep a box of 
whole-grain crackers by your bed. Eating them about twenty 

minutes before you get up may help prevent nausea. And if 
you can, it helps to get up and move about slowly in the 
morning because rushing seems to make nausea worse. 


Comments about and ideas for MEDNEWS are welcome . Story 
submissions are encouraged. Contact MEDNEWS editor, Earl 
W. Hicks, at email:; Telephone 
202/762-3223, (DSN) 762-3223, or fax 202/762-3224.